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Abstract : Feeding/Swallowing Disorders: Maintaining Quality of Life in Persons with Intellectual Disability
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Abstract: Persons with intellectual disability (ID) have received little attention in systematic studies of healthcare and quality of life. Less attention has been provided to specific disorders, such as those impacting the swallowing mechanism. In comparison to the general population, persons with ID experience noticeably greater healthcare inequalities and despite greater life expectancy, it is still lower than the general population. This paper serves as an introduction to healthcare colleagues regarding the risks involved in choking and swallowing disorders in persons with ID, how to evaluate these potential risks and possible treatments. Associated etiologies are presented. A discussion on feeding disorders versus swallowing disorders is also introduced. The inadequacy of swallowing assessment services to persons with ID may be related to the lack of professionals with specialized training in working with this population, reduced funding for research to explore options for improved nutrition and reduced risk of choking and minimal research on changes in feeding skills and/or swallow physiology in this select group of individuals. Keywords: Dysphagia, Feeding disorders, Aspiration, Videofluoroscopy, Endoscopy Download Full Article |
Abstract : Attentional Factors Involved in Learning in the First Grade
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Abstract: In the school population, attentional problems are one of the most frequent causes of failure in learning; sometimes these take the form of a specific deficit and in other cases an attention disorder occurs in comorbidity with a learning disorder. It seems crucial to focus on what peculiar characteristics of attention are involved in basic learning in order to contribute to the diagnostic order and to arrange paths of development. This research aims to verify the weight of the different components of attention involved in the outcomes of the first stages of learning. A total of 69 children (34 males and 35 females, aged 6.4±1.1 years and 7.3±1.2 years respectively) in first grade, participated in the study. The results of the correlational analysis carried out show that there are specific significant relationships between the various components of attention and performance in reading, writing and calculation. In particular, visual attention appears to be the aspect most involved in the initial development of the learning of these three abilities. Factorial analysis shows a single factor involved in the learning of reading, writing and calculation: “Rapid Visual Attention”. The processes identified in the factor are: Selective Attention, Visual Selective Attention, Shifting Focus, Focused Attention, Planning and Inhibition. This factor is characterised by speed in Selective/Sustained Visual Attention and this explains the role of attention in success in reading, writing and calculation in the early stages of school learning. The Rapid Visual Attention Factor contributes to rapidity in reading, speed in writing and numerical knowledge in first grade children, confirming the causal relationship between visual attention and initial learning in this age group. This “Rapid Visual Attention” Factor may be crucial in accounting for the comorbidity between Attention Deficit Hyperactivity Disorder and Learning Disabilities. Keywords: Visual attention, literacy, numeracy, processing speed, attention deficit. |
Abstract : Impact of Physical Activity on Alzheimer’s Disease: A Randomised Controlled Study
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Abstract: Purpose: To study the effects of physical training on behavior and balance issues in elderly people afflicted with Alzheimer’s disease. Method: Forty patients (average age: 80 years old) participated in the study. The individuals were placed into two groups: a control group, which did not participate in any kind of training, and a trained group, which followed an eight-week training program. The training program comprised 2–3 sessions of light physical activity or walking per week; each session had an average duration of 15–55 min. Before (T1) and after (T2) the training program, an assessment of the psychical, psychological, physical, and functional parameters was conducted. Results: Upon completion of the physical training program, there was a significant (p < 0.05) improvement in the Tinetti test (T1: 19.5 ± 4.2 s; T2: 20.1 ± 4.1 s), a significant decrease in the completion time of the “get up and go” track for all of the participants (T1: 23.1 ± 8.1 s; T2: 19.5 ± 6.1 s), and a significant reduction in the seriousness of the behavioral issues observed. Conclusion: This preliminary study revealed that physical training had an overall beneficial impact on Alzheimer’s patients, especially on their behavior and balance. Keywords: Elderly people, physical activity, behavior, balance. Download Full Article |
Abstract : Factor Structure of the Bulgarian CAST: (Childhood Autism Spectrum Test)
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Abstract: The number of studies addressing the latent structure of specific screening and diagnostic tools for autism spectrum conditions is still limited. The current study explored the latent structure of the Bulgarian CAST (Childhood Autism Spectrum Test) in screening for autism in the Bulgarian population. The data were analysed using factor analyses. A hierarchical model with two primary factors yielded best data fit. This structure is consistent with the two main categories adopted in the DSM-5 and current accounts of the range of conditions broadly falling into two main clusters of symptoms. These results confirm the validity of CAST as a tool for screening for autism spectrum conditions in other cultures and support the construct validity of the model and criteria included in the DSM-5. Furthermore, our results demonstrate how factor analysis can be exploited to reveal the underlying structure of screening tools aimed at capturing the behavioural traits of deficit phenotypes. Keywords: Autism, screening tests, factor analysis, factor structure, latent structure Download Full Article |
